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Cephalometric Evaluation of the Airway Space and Hyoid Bone in Children with Atypical Deglutition: Correlations Study
Machado Júnior,Almiro J; Crespo,Agrício N;
International Journal of Morphology , 2012, DOI: 10.4067/S0717-95022012000100060
Abstract: although there is a close relationship between swallowing and breathing are no studies that relate to atypical swallowing radiographic anatomy of the airway space and its possible correlation with the radiographic position of the hyoid bone. the aim was to evaluate the possible correlation with the radiographic position of the hyoid bone and airway space in lateral radiographs of children with atypical deglutition. using cephalometric analysis on lateral teleradiographs, the distances of h-mp (hyoid to mandibular plane) and h-t (hyoid to tuber) were spearman's correlation analysis was performed with pas (airway space) in two groups: the experimental group with atypical deglutition and the control group normal deglutition. both groups included subjects in mixed dentition stage. thevariable t-h had statistically significant correlation with pas (0.0286) and the variable mp-h had significant correlation with variable pas (0.0053). ourresults show that advanced positive correlation of the radiographic position of the hyoid bone to the airway space only in the group of normal swallowing. the lower airway in patients with atypical swallowing, causing changes in tongue posture which leads to change in the position of the hyoid bone.
Postural Behavior in Children Born Preterm  [PDF]
Bj rg Fallang,Mijna Hadders-Algra
Neural Plasticity , 2005, DOI: 10.1155/np.2005.175
Abstract: The present paper presents clinical and neurophysiological data of postural behavior in preterm children without CP. Clinical followup studies of preterm infants until toddler and school age have reported that low-risk preterm infants may have atypical postural behavior in terms of reduced amount of rotation during crawling, delayed dynamic balance, delayed onset of and a poor quality of early walking behavior. At school age, dysfunctions such as problems in standing on one leg and poor hopping are reported. Neurophysiological data of postural control at early age indicated the presence of a dysfunction in the capacity to modulate postural activity, and the postural activity has been characterized by temporal disorganization of EMG responses. Postural responses to goal-directed reaching in supine lying have been recorded and analyzed in terms of the total body center of pressure. In this study, preterm infants show less mobile postural behavior compared with full-term infants. In infancy, the less mobile postural behavior seemed to be adequate as it was related to better goal-directed reaching quality, but the results indicated that the relatively immobile postural behavior during reaching in early age was related to less favorable neuromotor behavior in school-age.
Cephalometric Evaluation of the Airway Space and Hyoid Bone in Children with Atypical Deglutition: Correlations Study Evaluación Cefalométrica del Espacio de las Vías Respiratorias y Hueso Hioides en Ni os con Deglución Atípica: Estudio Correlacional  [cached]
Almiro J Machado Júnior,Agrício N Crespo
International Journal of Morphology , 2012,
Abstract: Although there is a close relationship between swallowing and breathing are no studies that relate to atypical swallowing radiographic anatomy of the airway space and its possible correlation with the radiographic position of the hyoid bone. The aim was to evaluate the possible correlation with the radiographic position of the hyoid bone and airway space in lateral radiographs of children with atypical deglutition. Using cephalometric analysis on lateral teleradiographs, the distances of H-MP (hyoid to mandibular plane) and H-T (hyoid to tuber) were Spearman's correlation analysis was performed with PAS (airway space) in two groups: the experimental group with atypical deglutition and the control group normal deglutition. Both groups included subjects in mixed dentition stage. Thevariable T-H had statistically significant correlation with PAS (0.0286) and the variable MP-H had significant correlation with variable PAS (0.0053). Ourresults show that advanced positive correlation of the radiographic position of the hyoid bone to the airway space only in the group of normal swallowing. The lower airway in patients with atypical swallowing, causing changes in tongue posture which leads to change in the position of the hyoid bone. Aunque existe una estrecha relación entre la deglución y la respiración, no se dispone de estudios que relacionen la anatomía radiográfica atípica de deglución del espacio de la vía aérea y su posible correlación con la posición radiológica del hueso hioides. El objetivo fue evaluar la posible correlación de la posición radiológica del hueso hioides y las vías aéreas en radiografías laterales de ni os con deglución atípica. Utilizando el análisis cefalométrico sobre telerradiografías laterales, fueron analizadas las correlaciones entre las distancias H-MP (hueso hioides al plano mandibular) y HT (hioides al tubérculo) y el PAS (espacio de la vía aérea) en dos grupos: el grupo experimental con la deglución atípica y el grupo control con deglución normal. Ambos grupos estaban en etapa de dentición mixta. Las variables HT y MP-H tuvieron una correlación estadísticamente significativa con la variable PAS, 0,0286 y 0,0053 respectivamente. Nuestros resultados muestran que la correlación positiva de la situación radiológica avanzada del hueso hioides al espacio de las vías respiratorias sólo se observa en el grupo de deglución normal. La vía respiratoria inferior en los pacientes con deglución atípica provoca cambios en la postura de la lengua, lo que conduce a un cambio en la posición del hueso hioides.
Radiographic and Histological Findings in an Atypical Orbital Myxoma
BP. Bielory, NM. Mirani, MT. Barry and RE. Turbin
Ophthalmology and Eye Diseases , 2012, DOI: 10.4137/OED.S7498
Abstract: Myxomas are rare neoplasms of mesenchymal origin. Diagnostic evaluation requires histopathological confirmation. We report a rare case of atypical orbital myxoma with radiographic and histopathological correlation.
Postural control in strabismic children: importance of proprioceptive information  [PDF]
Cynthia Lions,Emmanuel Bui Quoc,Maria P. Bucci
Frontiers in Physiology , 2014, DOI: 10.3389/fphys.2014.00156
Abstract: Objective: To examine the effect of proprioceptive information during postural control in strabismic children.
Postural Adaptations To Supra-postural Tasks in Children With Developmental Coordination Disorder  [cached]
Chen Fu-Chen,Stoffregen Thomas A,Wade Michael G.
BIO Web of Conferences , 2011, DOI: 10.1051/bioconf/20110100015
Abstract: We investigated the effect of varying memory (cognitive) demands, and visual (perceptual) demands on postural motion. Sixty four children (32 DCD, 32 TDC, 9-to-10 years) were volunteers. Each performed separate memory and visual tasks at two levels of difficulty; easy (LD) and hard (HD) while recording their postural motion. For the memory task, both groups reduced postural sway in the HD condition. For the visual task only the TDC group reduced postural sway in the HD condition; DCD children did not. The DCD group did not reduce postural motion but, in fact, increased motion. We also found several group task interactions on sway. Our data suggest a weakening of the action linkage between both cognitive and perceptual tasks in children diagnosed with movement difficulties. The data are discussed in the context of limitations in the embodied relationship between posture and both perceptual and cognitive activity.
Postural Muscle Dyscoordination in Children With Cerebral Palsy  [PDF]
Jolanda C. van der Heide,Mijna Hadders-Algra
Neural Plasticity , 2005, DOI: 10.1155/np.2005.197
Abstract: The present paper gives an overview of the knowledge currently available on muscular dyscoordination underlying postural problems in children with cerebral palsy (CP). Such information is a prerequisite for developing successful therapeutic interventions in children with CP. Until now, three children with CP functioning at GMFCS (Gross Motor Function Classification System) level V have been documented. The children totally or partially lacked direction specificity in their postural adjustments and could not sit independently for more than 3 seconds. Some children functioning at GMFCS level IV have intact direction-specific adjustments, whereas others have problems in generating consistently direction-specific adjustments. Children at GMFCS levels I to III have an intact basic level of control but have difficulties in fine-tuning the degree of postural muscle contraction to the task-specific conditions, a dysfunction more prominently present in children with bilateral spastic CP than in children with spastic hemiplegia. The problems in the adaptation of the degree of muscle contraction might be the reason that children with CP, more often than typically developing children, show an excess of antagonistic coactivation during difficult balancing tasks and a preference for cranial-caudal recruitment during reaching. This might imply that both stereotypies might be regarded as functional strategies to compensate for the dysfunctional capacity to modulate subtly postural activity.
Swallowing abnormalities in HIV infected children: an important cause of morbidity
Etienne D Nel, Alida Ellis
BMC Pediatrics , 2012, DOI: 10.1186/1471-2431-12-68
Abstract: We describe 25 HIV-infected children referred for possible swallowing disorders. Clinical and videofluoroscopic assessment of swallowing (VFSS), HIV stage, and respiratory and neurological examination were recorded.Median age was 8?months (range 2.8-92) and 15 (60%) were male. Fifteen (60%) were referred for recurrent respiratory complaints, 4 (16%) for poor growth, 4 (16%) for poor feeding and 2 (8%) patients for respiratory complaints and either poor growth or feeding. Twenty patients (80%) had clinical evidence of swallowing abnormalities: 11 (44%) in the oral phase, 4 (16%) in the pharyngeal phase, and 5 (25%) in both the oral and pharyngeal phases. Thirteen patients had a videofluoroscopic assessment of which 6 (46%) where abnormal. Abnormalities were detected in the oral phase in 2, in the pharyngeal phase in 3, and in the oral and pharyngeal phase in 1; all of these patients also had evidence of respiratory involvement. Abnormal swallowing occurred in 85% of children with central nervous system disease. CNS disease was due to HIV encephalopathy (8) and miscellaneous central nervous system diseases (5). Three of 4 (75%) patients with thrush had an abnormal oral phase on assessment. No abnormalities of the oesophagus were found.This report highlights the importance of swallowing disorders in HIV infected children. Most patients have functional rather than structural or mucosal abnormalities. VFSS makes an important contribution to the diagnosis and management of these patients.Swallowing disorders, often unrecognized in AIDS and other chronic diseases, significantly reduce quality of life [1] and increase morbidity and mortality: nutrition is adversely affected [2], the ability to take medication is reduced [3] and serious complications such as aspiration pneumonia [4] may occur. The causes of swallowing disorders are multi-factorial and include infections of the mouth, pharynx and esophagus, functional abnormalities of swallowing, and structural abnormalities
Relationship between posterior crossbite and postural alterations in children  [cached]
Juliana Jaqueline de Matos Lopes,Adriana Lucato,Eloísa Marcantonio Boeck,Mayury Kuramae
RGO : Revista Gaúcha de Odontologia , 2009,
Abstract: Objective: To evaluate the posture of individuals with functional posterior crossbite, malocclusion is one of the most in need of orthodontic treatment. Methods: This work presents an analysis of postural among children 6 to 12 years who present functional posterior cross bite of both genders who are in mixed dentition or no intervention prior orthodontic and orthopedic. Was obtained images in the plans: front and back where it was analyzed the asymmetry or symmetry of the individual in the image and in the lateral, anterior, a posterior or normality. Results: 100% had some kind of postural change, and the asymmetry between the scapulae (shoulder) found the greatest change, as one of extreme importance in this age group represents a growing skeletal muscle. Conclusion: analyzes all of the children showed postural abnormalities and malocclusion are also of great importance not only to be treating the problem orally, but the postural problem with the help of a multidisciplinary team.
Specialist Speech Therapy in Poland in Children with Feeding and Swallowing Disorders
Marta Szmaj
Acta Facultatis Medicae Naissensis , 2012,
Abstract: Progress in medical care witnessed nowadays has resulted in the increase of the survival rate of infants affected or at risk of some psychomotor development disorders. High psychomotor risk may be associated with perinatal risk factors, preterm delivery as well as hereditary diseases. Each child with the so-called positive perinatal family history may experience difficulty feeding and swallowing. Therefore, diagnosing feeding and swallowing disorders, known as dysphagia, by a team of specialists including a neonatologist, paediatrician, gastroenterologist, laryngologist, psychologist and speech pathologist, has become an urgent need. The aim of this article is to acquaint the readers with the role of the specialist in speech pathology in the improvement of the feeding and swallowing skills in children affected by certain psychomotor disorders, as well as present current developments in the specialist speech care available in hospitals and early medical intervention centres in Poland.
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